Individual
MS. JENNIFER DAWN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 728-4355
Mailing address
309 CHELTENHAM DRIVE, WINSTON-SALEM, NC 27103
(336) 721-7600
(336) 728-4355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102131
—
NC
Enumeration date
03/22/2007
Last updated
07/08/2007
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